Carpal Disorders

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Extra resources for Carpal Disorders

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6. (A) The proximal and the distal extentd of the extensor retinaculum are identified and carefully incised as shown (dashed line). Care must be taken to not inadvertently injure the extensor tendons beneath the retinaculum. The ulnarmost aspect of the transverse incision of the retinaculum is carried to the fifth extensor compartment. (B) A diagrammatic representation of the distal retinacular incision (dashed line). ) SURGICAL APPROACHES TO THE CARPUS 425 Fig. 7. (A) Elevation of the retinacular flap is performed by dividing the septum between the third and fourth, and fourth and fifth extensor compartments (dashes) after exposing the 3rd compartment (arrow).

Compartments, extending proximally from the level of the ulnar styloid [32]. The fifth compartment lies right over the distal radioulnar joint. The retinaculum over the fifth compartment should be opened and the extensor digiti minimi tendon should be retracted. An L-shaped ulnar based capsular flap is created by incising the dorsal capsule of the distal radioulnar joint along the radial attachment, leaving a small rim of capsule for subsequent repair. The capsulotomy extends distally to the level of the dorsal radioulnar ligament, which appears as a distinct thickening of the capsule as the sigmoid notch is approached.

The cutaneous innervation of the palm: an anatomic study of the ulnar and median nerves. J Hand Surg [Am] 1996;21:634–8. [25] Matloub HS, Yan JG, Mink Van Der Molen AB, et al. The detailed anatomy of the palmar cutaneous nerves and its clinical implications. J Hand Surg [Br] 1998;23:373–9. [26] Russe O. Experience and results in filling up of the substantia spongiosa in old fractures and pseudarthrosis of the scaphoid bone of the hand. Wiederherstellungschir Traumatol 1954;II:175–84 [in German].

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